How much rates vary
Facilitymedian $1,820 · 10th to 90th $794 to $7,586Professionalmedian $525 · 10th to 90th $83 to $933
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $9,120.11 | Facility | None | $831.76 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $933.25 | Professional | None | $691.83 | $707.95 | $933.25 |
BCBS Texas Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $7,585.78 | Facility | None | $741.31 | $1,412.54 | $7,585.78 |
BCBS Texas Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $2,238.72 | Professional | None | $660.69 | $870.96 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,230.27 | Professional | None | $724.44 | $831.76 | $1,230.27 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $1,905.46 Typical High $6,918.31 | Facility | None | $660.69 | $1,905.46 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $954.99 | Professional | None | $691.83 | $707.95 | $954.99 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $446.68 Typical High $645.65 | Professional | None | $79.43 | $446.68 | $645.65 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $251,188.64 | Facility | None | $660.69 | $1,318.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,230.27 | Professional | None | $724.44 | $831.76 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,174.90 | Professional | None | $562.34 | $758.58 | $1,174.90 |
Wellpoint Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $512.86 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $70.79 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $478.63 | $489.78 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $354.81 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $141.25 | $165.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $512.86 | $524.81 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $70.79 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $70.79 | $83.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $478.63 | $489.78 | $588.84 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$575
AK $2,884UT $537
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.